Category: Journal Club

Musings form the evidence based journal club at St Emlyns

JC: Oxygen in ACS. A fuss about nothing? The DETO2X Trial at St.Emlyn’s

DETO2X-SWEDEHEART sounds like a new low-carb, high-alkali, So-Cal diet plan but it is actually a trial exploring the affect of oxygen on mortality in patients with a suspected acute coronary syndrome (ACS). There is a

JC: The VTE and Major Trauma. St.Emlyn’s

All good EM/CC clinicians know that venous thrombo embolism (VTE) is a potential complication of traumatic injury. The immobilisation and haematological changes associated with signficant injury are reasonably well described. Additionally there are controversies over

JC: Apnoeic Oxygenation (again). St.Emlyn’s

  We’ve debated Apnoeic Oxygenation on St.Emlyn’s in the past1. Physiologically it kind of makes sense. The idea that we can put ‘Os up the Nose’ (as someone cleverer than I suggested) to avoid premature

Mike Charlesworth and Lee Feddy: ‘Predatory publishers’ – time for a re-think?

Imagine that you are a foundation doctor (PGY 1-2), and you have written a case report during your general surgery rotation. Your supervisor has approved the manuscript and delegated the responsibility of submission to you.

Fake news, lies, fraud, errors and statistics. St.Emlyn’s

One of the most inspiring talks at SMACC Dub was delivered by John Carlisle on the subject of fraud in medical publishing. It was inspiring for many reasons, the topic is of real interest to

JC: Pain Scales in the Paediatric ED

I will confess a geeky interest in paediatric pain management (I’ve spoken and written about it before at St Emlyns), so when I spotted this paper published online ahead of print a few months ago

JC: Those who can, do; those who teach, do better. St.Emlyn’s

I’ve always been somewhat irritated by that old adage that ‘Those that can do; those that can’t, teach’. Apart from the obvious intended insult to teachers (which is just rude), it’s also patently not true

JC: Bystanders make the difference in cardiac arrest. St.Emlyn’s

A quick journal club this week in what’s been a very busy few days. As you know we were at the BMJ Awards this week. We had a fabulous time but our section was won

JC: The Quick-Wee Method for Faster Clean Catch Urine Collection

The wilful nature of children is responsible for a lot of the facial expressions we see in the paediatric emergency department but few parents are as frustrated as those waiting… and waiting… and waiting for

JC: Vitamin SCepTiC?

        We all love the idea of a magic bullet for sepsis. Despite having had our fingers burnt here before (like this time, and this time and that time…), the search continues

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